Continuing professional development:progress beyond continuing medical education

Continuing medical education(CME)is rapidly evolving into competency-based continuing professional development(CPD)and this is driving change in self-directed CPD programs undertaken by individual practitioners as well as CPD programs or frameworks offered by CPD educators.This progression is being led by many factors including the rapid change in medical knowledge and medical practitioners along with changes in patients and society,healthcare systems,regulators and the political environment.We describe our experiences primarily concerning low-resource environments,in creating the International Council of Ophthalmology(ICO)Guide to Effective CPD/CME and in developing a CPD program for the Cambodian Ophthalmological Society(COS)twinned with the Royal Australian and New Zealand College of Ophthalmologists(RANZCO).At the conclusion of the project,47(100%)Cambodian practicing ophthalmologists were registered in the CPD program and 21(45%)were actively participating in the online COS-CPD program recording.We discuss challenges in CPD,propose solutions to overcome them and recommend developing research in CPD as needed to effectively enhance educational activities with impact in public health.

Analysis of Professional Quality Cultivation Strategies for Infant and Child Care Service Talents from the Perspective of Collaboration of Medical Care,Parenting,and Education,and Integration of Industry and Education

The collaboration of medical care,parenting,and education aims to integrate nursing,midwifery,infant and child care services,and management with speech and hearing rehabilitation technology,among other elements related to the infant care industry chain.This integration targets pediatrics talent training in nine infant care positions,including nursing,infant health care and management,and child rehabilitation,to ensure that the capabilities and quality of professional talents can meet the health care needs of infants and young children.This article briefly explains the background of the“collaboration of medical care,parenting,and education,and integration of industry and education.”It analyzes the necessity of cultivating infant and child care service talents based on the perspective of“collaboration of medical care,parenting,and education,and integration of industry and education.”Based on this perspective,we conducted an in-depth study of the cultivation of professional qualities of infant and child care service talents.

Situation and Development Path of Humanistic Education in Medical Colleges and Universities in China

Humanistic education,as the“internal structure”of medical education,attempts to cultivate medical students’humanistic knowledge,ability,and comprehensive quality as well as makes adjustments with the evolvement of medical education.The global medical education reform has undergone three stages:expert medicine,clinical practice medicine,and public service medicine.Public service medicine,which took place in the 21st century,is a system-based and competency-oriented education,highlighting the construction of a health service system with medical and educational cooperation as well as the cultivation of medical students’comprehensive quality.China’s medical education started late and has a weak foundation with many twists and turns.Through the rapid development of reform and opening-up,China has narrowed the gap with international medical education and established a perfect medical curriculum system.China has successively promulgated a number of documents,such as the“Outline of Reform and Development of Medical Education in China”and the“Opinions on Strengthening the Collaboration between Health Departments and Education Departments to Implement the Doctor of Excellence Education Training Program 2.0,”with the goal of cultivating high-quality excellent medical talents.Medical students in colleges and universities are senior talents in medical training,health care services,and medical research.Their humanistic quality is not only related to the growth of medical talents,but also the quality of medical services.This paper analyzes and discusses the problems encountered in improving humanistic education and looks forward to providing reasonable as well as effective solutions to the difficulties faced by humanistic education in the new era through comparative research.

Educational Value of Doctor Trainee Employments (“Student Doctor”) —A Questionnaire Study

Background: In Sweden, medical students can work as employed doctor trainees under supervision during medical school breaks. The aim of the present study was to evaluate the educational value of such employments, as well as to compare university and non-university positions. Method: A questionnaire was administered to all employed doctor trainees at Sahlgrenska University Hospital, Gothenburg, in 2003-2004 (n = 67) plus all students in last term medical school 2005 who had had such a position inside or outside this university hospital (n = 43). The questionnaire included questions on trainee position/s, as well as statements regarding the educational value. Result: 75 unique individuals returned a filled-in questionnaire (response rate: 78%). The respondents experienced the positions as valuable concerning gain in professional confidence (mean ± standard deviation: 3.9 ± 1.1;1 = total disagreement to 5 = total agreement) and independence (3.9 ± 1.1), subsequent learning in medical school (4.3 ± 0.9), and future professional work (4.2 ± 1.0). The gain in professional confidence and independence was greater for those who had worked in a non-university hospital (n = 17) than in a university hospital (n = 29): 4.4 ± 0.6 vs. 3.6 ± 3.6, P = 0.011;4.3 ± 0.7 vs. 3.6 ± 1.1, P = 0.038. Conclusion: Employment as a doctor trainee seems to facilitate subsequent learning in medical school and enhance professional progress;the latter is particularly prominent in non-university hospitals.

Study on the Integration of Professional Ethics in Medical Interpretation Course Based on Situational Simulation Teaching Method and Virtual Reality Technology

Based on the theory of situational simulation,the article explores the approach to building the medical interpretation course from three aspects,which are the objective,design,and teaching model.The course aims to cultivate high-quality medical interpreting talents and enhance students’practical interpretation skills,as well as to integrate professional ethics into teaching.Thus,it is necessary for lecturers to change their teaching philosophy,apply information technology,and improve teaching design.Through rich medical interpretation course,lecturers can promote the integration of professional ethics in medical interpretation.

高质量体育教师专业发展:时代性、问题域、落脚点

在新时代中国特色社会主义背景下,体育强国梦的实现对高质量体育教师专业发展提出前所未有的要求。研究深入探讨体育教师专业发展的现状、面临的挑战以及未来的发展方向,揭示了体育教育理念的深化、体育教师责任感与使命感的强化是适应新时代要求的关键。研究认为,教师培训体系的不完善、专业成长机会的有限性以及教育评价体系的单一性是当前体育教师专业发展面临的主要问题。针对这些问题,提出建设性的解决策略:构建多元化教师培训体系、提供丰富的专业成长机会以及推进教育评价机制的创新。这些策略旨在全面提升体育教师的专业素养和教学能力,为提高体育教育质量、推进体育强国建设贡献力量。

思政案例融入药理学课程教学设计与实践

药理学是医学和药学专业的专业必修课程,是基础医学和临床医学的桥梁学科。当前社会的发展离不开高水平高素质医药人才培养。课程思政是在专业课程中融入思想道德教育的新教育理念,有利于全方位培养专业人才。本教学改革研究以镇静催眠药这一章节为例,通过挖掘专业课程知识相关思政案例及价值范式,适当融入药理学教学过程中,从学生的真实反馈获得研究评价。通过分析结果发现将思政案例融入药理学教学后,显著提高了学生学习兴趣和思想道德品质,提升了专业课教学效果,还可以润物细无声地助力实现高校“立德树人”的人才培养目标,对后续推进药理学课程思政改革可提供一定的参考价值。

抗疫精神融入医学生人文教育的逻辑理路、价值意蕴与实践路径

抗疫精神为培育医学生理想信念、爱国情怀、职业道德、人文素养提供了深厚的精神滋养和现实契机。将抗疫精神融入医学生人文教育是培养新时代“五术”医学人才、提升医学生人文教育实效性、提高医疗卫生服务质量的现实需要。医学院校应紧紧围绕“立德树人”根本任务,把抗疫精神全方位融入医学生培养全过程,坚持以特色课程整合人文教育资源、以特色活动统领人文教育体系、以特色环境激活人文教育生态,努力培养有情怀、有温度、有担当以及医德高尚、医术精湛的人民健康守护者。

置信职业行为在儿科本科实习中的应用初探

目的探索如何将置性职业行为(entrustable professional actibities,EPAs)应用于儿科学本科临床医学教育的实习阶段,提升儿科本科实习培养质量。方法选取2021年6月—2022年6月南通大学附属医院儿内科参加实习的本科医学生56名。随机分为对照组与试验组,各28名。对照组采用传统实践教学模式,试验组在传统教学模式的基础上加入EPAs评价。两组学员的培训时间均为4周。观察学生实习前后EPAs评分的差异,以及试验组和对照组学员在传统教学考核成绩方面的差异。结果试验组EPAs自评分、中级职称带教老师评分、高级职称带教老师评分均高于对照组[(16.96±1.75)分vs(39.32±2.06)分]、[(17.21±1.66)分vs(41.00±1.68)分]、[(17.35±1.64)分vs(39.86±1.84)分],差异有统计学意义(P<0.05)。试验组病史采集、体格检查、病历书写、沟通能力评价评分及总分高于对照组,差异有统计学意义(P<0.05);2组体格检查、技能操作比较差异无统计学意义(P>0.05)。结论EPAs评价在儿科本科实习教学中的应用可有效提高实习教学质量。

突发公共卫生事件影响下医学生医学职业精神认知现状研究

目的调查分析上海高校医学生对医学职业精神的理解和认知现状。方法选取上海市部分医学院校的全日制在读医学生574名,采用自行设计的问卷开展调查,并根据参与志愿者工作或抗疫一线工作经历将医学生分为参与组(362名)和未参与组(212名),进一步分析相关工作经历对医学职业精神内涵重要性认同度的影响。结果不同学历医学生对《医师宣言》和《中国医师宣言》的认知情况比较,差异有统计学意义(P<0.05)。46.2%的医学生认为疫情的发生并没有影响个人职业规划,37.3%的医学生在经历疫情之后更坚定了学医的决心,准备为医学事业献身;37.6%的医学生认为疫情对个人职业精神影响很大,加深了对医学职业精神的直观感受,并将付诸实践;46.5%医学生意识到医学职业精神对医学教育、卫生健康事业发展的重要性。医学生认为医学职业精神最重要的前3项是“尊重患者”(87.1%)、“在困难时保持镇定”(87.3%)和“解决自己知识和技能上的差距”(86.2%),而排名末3项则是“代表患者发声”(58.9%)、“对待患者,随叫随到”(47.9%)和“为满足患者,接受对自己不便的要求”(41.5%)。参与组对医学职业精神内涵重要性的认同度显著高于未参与组,差异有统计学意义(P<0.01)。结论医学生对医学职业精神的认识目前仍存在不足,且利他主义精神相对缺乏,但大部分医学生能认识到医学职业精神在自身成长、发展与职业实践中的重要性。

“新医科”视域下基础医学教师素养内涵的解构分析

“新医科”建设承担着为健康中国培养医学创新人才的使命,推进着医学教育的深刻变革。基础医学是医学教育中的重要组成和医学创新的前沿阵地,高素质的师资队伍是医学创新人才培养的关键。通过文献检索及经验总结,对“新医科”视域下基础医学教师素养的内涵从三个方面进行了解构和分析。首先明确了品格素养的内涵是以教育家精神、科学家精神和医学人文精神为其内核;其次从学科知识、数字信息知识和教育理论知识三个方面分析了知识素养的内涵;最后,以教学能力、科教融合能力、创新能力、人才培养能力和管理能力这几个方面解构基础医学教师能力素养。在此基础上,结合现状,针对内涵制定相应措施,“引”“育”并行、科教并重,构建“一中心三结合四维度”的基础教师素养培养提升体系应用于师资队伍建设,在师德师风建设、知识结构优化、科研创新能力提升等方面取得一定成效,意在打造一支政治过硬、管理科学、育人水平高超、具有创新活力的高质量基础医学师资队伍。

应用型高校劳动教育与专业教育融合发展实践进路研究

应用型高校劳动教育与专业教育有机融合发展的价值体现是新时代贯彻落实立德树人教育理论的本质要求,是推动应用型高校高质量发展的内在需要。二者的融合存在机制不够完善、思想淡漠、师资不足等现实困境,需要从坚持“机制为要”强化融合顶层设计的引领力、强化“内容为王”提升融合资源内容的感染力、坚持“隐性为本”提升融合环境的浸透力、强化“科学为要”提升劳动教育与专业教育融合评价的导向性等四个方面构建实践进路,以更好推动劳动教育与专业教育的融合发展。

某三甲医院继续医学教育减负政策的效果与思考

目的 评估北京某三级甲等医院继续医学教育(continuing medical education,CME)减负政策的实施效果。方法 选择北京某三级甲等医院的2016年11月—2022年10月接受医院CME 2 087名人员相关资料,应用资料分析方法分析相关CME情况。结果 国家级/市级项目方面,实施时间对CME得分有负面影响(P <0.001),职称对CME得分的影响不显著(P=0.641),专业对CME得分有正向影响(P <0.001);区级项目方面,实施时间、职称、专业对CME得分均有负面影响(均P <0.001);线上学分回归结果显示,实施时间为正面影响(P <0.001),职称和专业对得分影响不显著(P=0.889、0.058)。结论 减负政策对CME得分有正面影响,需要进一步完善政策以支持医务人员的学习。CME已经进入继续职业发展阶段,应重视自主学习,了解医务人员教育需求,提供多样化的学习方式,扩展线上教育,加强激励和约束机制。

课程思政对培养医学生职业道德观念的影响

目的 以普通外科学为例,探讨医学生课程思政教育对其职业道德观念培养的影响。方法 2020年1—12月,在佳木斯大学临床医学专业普通外科学的教学中未采取课程思政改革,选择某班50名学生为对照组;2021年1—12月,在佳木斯大学临床医学专业普通外科学的教学中采取课程思政改革,选择某班50名学生为观察组。对比两组学生的职业道德评分、本学期期末考试成绩和教学满意度。结果 教学前,两组学生的行医求仁信念评分、无私奉献精神评分、以人为本原则评分比较,差异无统计学意义(P> 0.05);教学后,观察组以上评分均较对照组高,差异有统计学意义(P <0.05)。观察组考试成绩、教学满意度均较对照组高,差异有统计学意义(P<0.05)。结论 在普通外科学课堂上添加课程思政元素,有助于提升医学生的思政水平,推动医学生职业道德观念的养成。

混合教学模式下运动生物化学课程思政的探索

全面推进课程思政建设是实施立德树人基本任务的关键措施。运动生物化学作为一门探究运动对机体化学组成、物质及能量代谢变化的分子级学科,是医学院校康复治疗专业的核心必修课。该课程内容不仅与体育运动、医学等多个学科交叉,而且包含了丰富的思政教育元素。如何有效地识别这些思政元素并将它们融入专业知识教学中,以实现润物细无声的教育效果,成为教育工作者的研究重点。文章通过深入分析运动生物化学课程内的思政元素,扩充课程思政案例库,并结合在线教学资源及平台,采用线上线下融合的教学方式,旨在加强师生情感交流和思想互动,激发学生的学习热情,提升教学效果。本研究旨在推动思政教育与专业知识的深度融合,为运动生物化学课程思政教学改革提供参考和借鉴。

置信专业活动在神经内科住培模式构建中的研究与实践

第三代医学教育改革的特点是强调以胜任力为导向的医学教育,但仍存在着无法忽视的不足,因此文章引入了置信专业活动这一概念。置信专业活动是指在临床环境中监督者通过观察和衡量后可以信任并委托给学员的专业活动,这一活动可以高效并且可靠地帮助监督者判断住培学员的能力,并促进住培学员能力的提升。目前为止,我国神经内科现有形成性评价体系仍不全面,无法有效地评价住院医师规范化培训(以下简称“住培”)学员在临床工作中的能力,国内也没有神经内科住培相关的置信专业活动。文章立足2020—2023年国内外临床医学教育相关研究,借鉴国际经验并结合我国实践经验分析置信专业活动的发展起源、现状、阻碍和前景,为我国神经内科住培模式构建的研究与实践提供思路及方向。

强化“皮肤性病学”教学中医学人文素质的培养

随着医学科学的发展与改革,医学模式已由传统的“生物医学模式”转变为“生物-心理-社会”医学模式,心理社会因素在疾病中的致病作用逐渐被人们重视。皮肤性病科患者群体由于皮损的暴露性、病情的反复发作等特点,导致该患者群体具有独特的心理特征,要求医师在诊疗过程中尤其需要体现人文关怀,而高等医学院校作为医学生成长的基地,应重视皮肤性病学教学中人文素质的培养。文章通过分析当前医学人文教育存在的问题,结合皮肤性病学教学现状,阐述人文素质教育在皮肤性病学教学中的必要性,并进一步提出相应的改革措施,旨在为高校培养理论基础扎实、道德素质高尚的皮肤性病科临床医师提供思路和借鉴。